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  • $62.18k

     ...looking for a change? Want to work no nights, no weekends, and no...  ...holidays? Be able to work from home 50% of the time once trained?...  ...DESCRIPTION: This individual will utilize clinical knowledge and...  ...decision to a second level reviewer. This individual interfaces with... 
    Work from home
    Temporary work
    Part time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Freeport, IL
    2 days ago
  • $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING CALIFORNIA AND OKLAHOMA MEDICAID, COMMERCIAL/...  ..., INPATIENT, INTENSIVE OUTPATIENT, PARTIAL HOSPITALIZATION UTILIZATION REVIEW INCLUDING DENIAL NOTIFICATIONS. ACTIVE, UNENCUMBERED... 
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    Hourly pay
    Full time
    Part time
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    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    11 hours ago
  •  ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-...  ...consistent, supplemental income Fully remote – work from anywhere You control volume and... 
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    Extra income
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    Flexible hours

    Dane Street, LLC

    New York, NY
    14 days ago
  •  ...entities we serve. Position: Michigan Utilization Review Nurse (Precertification) - LPN...  ...sound clinical decisions # Ability to work independently # Ability to provide instruction...  ...minute Job Type: Full Time; home based Required Education: Graduate... 
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    Full time
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    Local area

    MEDLOGIX, LLC

    Lansdale, PA
    8 days ago
  • $49.23 per hour

     ...Contemporary Staffing Solutions is seeking a Utilization Review Nurse to join our client to support the...  ...Compensation: $49.23 per hour Work Schedule: Monday through Friday,...  ...Onsite Tuesday through Thursday; work from home Monday and Friday. Key... 
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    Hourly pay
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    Part time
    Monday to Friday

    CSS Scientific

    Philadelphia, PA
    3 days ago
  • $28 per hour

     ...jurisdiction and desire an engaging work environment where they are...  ...an ongoing need for Document Reviewers. Document Reviewers will...  ...Details ~ Remote work-from-home opportunity ~ Pay rate...  .... ~ Proficiency in utilizing modern technology, especially... 
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    Temporary work
    Remote work
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Fargo, ND
    3 days ago
  • Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert...  ...Independent contractor role (1099) Remote, work-from-home position—anywhere in the U.S. within regulatory constraints... 
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    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 day ago
  • $1,099 per month

    Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review...  ...commitment. ADDITIONAL INFORMATION: Work remotely from anywhere in the US (Per HIPAA...  ...to be a remote position (work-from-home). Seniority level Mid-Senior level Employment... 
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    Full time
    Contract work
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    Medical Review Institute of America

    Dallas, TX
    3 days ago
  • $1,099 per month

    Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute...  ...and healthcare plan guidelines. Work remotely with flexible hours, as little...  ...office equipment. Role is remote (work-from-home). Legal and Privacy California... 
    Work from home
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    Full time
    Contract work
    For contractors
    Work at office
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago
  • $75k

     ...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital...  ...professional development and growth. A supportive and collaborative work environment. A chance to make a meaningful impact on the... 
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    Quadrant Health Group

    Boca Raton, FL
    3 days ago
  •  ...Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of...  ...if you prefer. Why Consider Peer Review Work? Stay up-to-date on clinical practices...  ...Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered... 
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    Relief
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    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...case requirements Additional Details Remote, work-from-home position - work anywhere in the U.S. Independent contractor... 
    Work from home
    Full time
    For contractors
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    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago
  •  ...Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our...  ...supplemental income through non-traditional clinical work. Position Overview: We are currently seeking... 
    Suggested
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    Dane Street

    United States
    2 days ago
  • Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the...  ...case requirements Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered by MRIoA’s Errors... 
    Work from home
    Remote job
    Full time
    For contractors
    Relief
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    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • $136.22k - $163.05k

     ...Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa County Salary:...  ...The Napa Valley Napa County is home to 140,000 residents who share a strong...  ...Clinicians , review data and trends, and work closely with program and fiscal staff to... 
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    Full time
    Part time

    Napa County

    Napa, CA
    15 days ago
  •  ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The...  ...motivated, detail-oriented and interested in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities... 
    Work at office
    Remote work
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    6 days ago
  •  ...Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join...  ...Website: Benefit Highlights ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time... 
    Full time
    Local area

    Universal Health Services

    Brookline, MA
    11 hours ago
  •  ...Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance...  ...and outcomes. Will function as the clinical lead, working alongside state plan president as the team interfaces with... 
    Remote job

    Vivo HealthStaff

    Newark, NJ
    4 days ago
  • $125k

     ...Job Description Utilization Review Nurse **This is a full-time, onsite role in El Monte, CA...  ...Hybrid No Remote** Schedule: 35-hour work week Hours: 8:30am-4:30pm with an hour...  ...outpatient services, special procedures and home care to assess the medical necessity and... 
    Full time
    Remote work

    Los Angeles County Firefighters Local 1014 Health Plan

    El Monte, CA
    20 days ago
  •  ...Job Description Job Description   Utilization Review Analyst II Licensed Practical Nurse Classification: Utilization Review Analyst...  ...management setting Excellent clinical assessment skills. Work with minimal supervision. Communicate effectively with others... 
    Hourly pay

    Northwood, Inc.

    Madison Heights, MI
    25 days ago
  •  ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens...  ...necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this... 
    Full time
    Remote work
    Relocation package
    Monday to Friday
    Shift work
    Weekend work

    Cincinnati Children's

    Cincinnati, OH
    11 hours ago
  •  ...passion for behavioral health? Join Sanford Behavioral Health as a Utilization Review Coordinator and play a vital role in ensuring clients receive...  ...to ensure high-quality, cost-effective care. This role works closely with the treatment team, insurance companies, revenue... 
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    Flexible hours

    Sanford Careers

    Marne, MI
    22 days ago
  •  ...excellent customer service. Candidates preferred experience is 2-5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and... 
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    Full time
    Remote work

    Iapetus Holdings LLC

    Ann Arbor, MI
    11 hours ago
  •  ...Commercial Documentation Review Specialist I Join Mercantile Bank as a Full-Time Commercial...  ...90 days, there is an opportunity to work from home 1-2 days per week) offers an opportunity...  ...a new challenge, allowing you to utilize your analytical skills in a fast-paced,... 
    Work from home
    Full time
    Flexible hours
    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    3 days ago
  • Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians...  ...; choose services and case types, dictate volume, and work based on availability No doctor-patient relationship... 
    For contractors
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    Dane Street

    Washington DC
    5 days ago
  • $2,163 per week

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...compact RN license and BLS certification. Responsibilities Work within a hospital case management unit Serve an acute care... 
    Daily paid
    Remote work
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    United States
    15 hours ago
  • Overview Join to apply for the Utilization Review Specialist role at Odyssey House Louisiana . This is a full-time remote position (must reside...  ...needs of all clients. The Utilization Review Specialist will work as a part of the multi-disciplinary team (MDT) and is... 
    Full time
    Temporary work
    Remote work
    Monday to Friday

    Odyssey House Louisiana

    New Orleans, LA
    4 days ago
  •  ...Utility Termination Investigator The Public Utility Commission (...  ...service utility complaints. Work Schedule and Additional Information...  ...similar documents will not be reviewed, and the information contained...  ...work schedules and work-from-home opportunities. Values and... 
    Work from home
    Full time
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours

    Pennsylvania Staffing

    Harrisburg, PA
    5 days ago
  • $19.5 - $26 per hour

     ...About the job Document Review and Data Entry Specialist Job details Salary...  ...pride ourselves on providing our employees a work experience built on family values. Our...  ...the following: Use TRAX program areas utilized for Maintenance personnel and perform setup... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    2 days ago
  •  ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing...  ...inpatient and outpatient services, working closely with Service...  ...toPersonal Assistance Services (PAS), home care (skilled) services,...  ...received, nature of the request, utilization determination (and events... 
    Remote work
    Flexible hours

    RPMGlobal

    New York, NY
    4 days ago